Individual provider Active NPI

Renick Matthew Smith, MD

  • Gastroenterology Physician
  • Fredericksburg, VA
National Provider Identifier
1346238821
Registry record updated Apr 6, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
0101232557 Issued in VA
Practice address
1500 Dixon St Ste 202
Fredericksburg, VA 22401-7231
Phone
(540) 370-0430
Fax
(540) 370-0021
NPI assigned
Oct 10, 2005
Last updated
Apr 6, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 6, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X 0101232557 VA Primary

Addresses

Primary practice location

1500 Dixon St Ste 202
Fredericksburg, VA 22401-7231

Mailing address

PO Box 745462
Atlanta, GA 30374-5462
Phone (540) 370-0430

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050829000716 VA Practitioner - Gastroenterology 0345271458 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Gastroenterology
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Richmond Multi-Specialty LLCGroup PAC ID 9335283894, 12 clinicians

Practice addresses (Care Compare)

1451 Hospital Dr
Suite 201
Fredericksburg, VA 22401-8424
Phone (540) 361-2040

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
83.36 of 100Reported as group
Quality
76.7
Promoting interoperability
100
Improvement activities
40
Cost
67.83

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy185
Upper gastrointestinal (GI) endoscopy for acid reflux103

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Richmond Multi-Specialty, LLC CurrentSince Oct 15, 2019 Accepting new patients
Fall Hill Gastroenterology Associates, a Division of Maha, Inc. Gastroenterology Past Accepting new patients
Lewis Plastic Surgery, PC Past Accepting new patients
Spotsylvania Multi-Specialty Group, LLC PastSince Oct 15, 2019 Accepting new patients
Fall Hill Gastroenterology Associates, LTD. Gastroenterology PastSince Feb 1, 2007 Accepting new patients

Locations

2000 Health Park Dr
Brentwood, TN 37027
Phone (615) 372-5426

1451 Hospital Dr
Ste 201
Fredericksburg, VA 22401
Phone (540) 361-2040

1500 Dixon St
Ste 102
Fredericksburg, VA 22401
Phone (540) 370-0430

1500 Dixon St
Ste 202
Fredericksburg, VA 22401
Phone (540) 370-0430

1451 Johnston Willis Dr
North Chesterfield, VA 23235
Phone (804) 267-6009

Interoperability endpoints

  • Direct secure messaging: renick.smith@hca6.eclinicaldirectplus.com

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1128902400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1617667200000",
    "number": "1346238821",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 745462",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303745462",
            "telephone_number": "540-370-0430",
            "fax_number": "540-370-0021"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 DIXON ST STE 202",
            "city": "FREDERICKSBURG",
            "state": "VA",
            "postal_code": "224017231",
            "telephone_number": "540-370-0430",
            "fax_number": "540-370-0021"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "RENICK",
        "middle_name": "MATTHEW",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-10",
        "last_updated": "2021-04-06",
        "certification_date": "2021-04-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "VA",
            "license": "0101232557",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fredericksburg, VA

Sources for this page

Verify at the official NPI Registry.